CMS Price Transparency Data

Blood antibody screen

Facility: Shands Jacksonville

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $75
  • Cash Discount Price: $67
  • vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Shands Jacksonville is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.41x the Medicare baseline. Located in 655 W 8Th St, Jacksonville, FL.
Cash / Self-Pay
$67

Average discount available for prompt cash payment at this facility.

Insurance Median
$75

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$53.24

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $53.24 (100%)
Cash / Self-Pay: $67 (126%)
Insurance Median: $75 (141%)
Cash: $67 (126% of Medicare)
Ins. Median: $75 (141% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $53.24 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $2 - $159 4%
Carelon Health $2 4%
Humana $2 - $164 4%
Amerihealth Caritas Florida $3 6%
Community Care Plan $3 6%
Florida Community Care $3 6%
Molina $3 - $13 6%
Simply Healthcare $3 6%
Ameri-Plus Preferred Care $10 19%
Avmed $10 - $108 19%
Beacon Health Strategies $10 19%
Blue Cross Blue Shield $10 - $116 19%
Capital Health Plan $10 - $96 19%
Careplus Health Plan $10 19%
Devoted Health Plan $10 - $11 19%
Florida Health Care Plan $10 - $18 19%
Florida Complete Care $12 23%
Ambetter / Centene $16 30%
Wellpath $16 30%
UnitedHealthcare $20 - $81 38%
Volusia Health Network $21 - $81 39%
Northeast Florida State Hospital $22 - $85 41%
North Florida Evaluation & Treatment Center $23 - $91 43%
Centivo $27 - $106 51%
Disney Cruise Line $29 - $116 54%
Cigna $30 - $119 56%
Health First Health Plan $32 - $135 60%
Mental Health Associates $32 - $125 60%
Prime Health Services $34 - $145 64%
Florida Health Alliance $35 - $139 66%
Archbold Medical Center $37 - $145 69%
Genex $37 - $145 69%
Rockport Provider $37 - $145 69%
Corvel Corp $42 - $164 79%
First Health $42 - $164 79%
Florida Hospital Healthcare System $42 - $164 79%
Medsave Usa Tpa $42 - $164 79%
Fringe Benefits Coordinators $44 - $183 83%
Multiplan $44 - $173 83%
Novanet $44 - $173 83%
Positive Healthcare Partners $59 - $60 111%
Wellcare Of Florida $64 120%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 655 W 8Th St, Jacksonville, FL 32209
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals